OrganizationActive
Clean and Seal Dental Program
NPI 1821601170 · Public Health or Welfare Agency · Dorchester, MA
Provider details
- NPI number
- 1821601170
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Faith Brooks, Public Health Dental Hygienist(774) 321-4720
Specialties & taxonomies
Agencies
Practice location
172 Ashmont St
Dorchester, MA 02124-3745
Phone: (774) 321-4720
Approximate (ZIP-level) locationGet directions
Mailing address
172 Ashmont St
Dorchester, MA 02124-3745
Registry dates
- Enumerated
- 2020-08-26
- Last updated
- 2020-08-26
- Certified
- 2020-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.